National Healthcare Directory Attestation and Verification
1.0.0-ballot - ballot

National Healthcare Directory Attestation and Verification, published by HL7 Patient Administration Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0-ballot). This version is based on the current content of https://github.com/HL7/fhir-directory-attestation/ and changes regularly. See the Directory of published versions

## Resource Profile: NatlDirAttestLocation - Detailed Descriptions

Active as of 2022-12-08

Definitions for the NatlDirAttest-Location resource profile.

- Differential Elements Table
- Key Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here.

1. Location

Guidance on how to interpret the contents of this table can be found here.

1. Location
Definition | Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
Control | 0..*
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.`div`.exists())
2. Location.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Control | 0..1
Type | uri
Is Modifier | true
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. Location.extension:accessibility
SliceName | accessibility
Definition | An extension to describe accessibility options offered by a practitioner or at a location.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Accessibility) (Extension Type: CodeableConcept)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
4. Location.extension:newpatients
SliceName | newpatients
Definition | New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network. May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | This element is affected by the following invariants: ele-1
Type | Extension(NewPatients) (Complex Extension)
Invariants | Defined on this element ele-1: (: ) ext-1: (: ) new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').valueCodeableConcept.coding.exists(code = 'no') implies extension('characteristics').empty())
5. Location.extension:region
SliceName | region
Definition | A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(boundary-geojson) (Extension Type: Attachment)
Comments | The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be 'application/geo+json'.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
6. Location.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
7. Location.identifier
Definition | Unique code or number identifying the location to its users.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Must Support | true
Requirements | Organization label locations in registries, need to keep track of those.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. Location.status
Definition | The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.
Control | 10..1
Binding | The codes SHALL be taken from LocationStatus Indicates whether the location is still in use.
Type | code
Is Modifier | true
Must Support | true
Fixed Value | active
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. Location.name
Definition | Name of the location as used by humans. Does not need to be unique.
Control | 10..1
Type | string
Must Support | true
Comments | If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. Location.mode
Definition | Indicates whether a resource instance represents a specific location or a class of locations.
Control | 0..01
Binding | The codes SHALL be taken from LocationMode Indicates whether a resource instance represents a specific location or a class of locations.
Type | code
Requirements | When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.
Comments | This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Location.type
Definition | Indicates the type of function performed at the location.
Control | 0..*
Binding | The codes SHALL be taken from ServiceDeliveryLocationRoleType; other codes may be used where these codes are not suitable Indicates the type of function performed at the location.
Type | CodeableConcept
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Location.telecom
Definition | The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
Control | 0..*
Type | ContactPoint
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. Location.telecom.extension:contactpoint-availabletime
SliceName | contactpoint-availabletime
Definition | An extension representing the days and times a contact point is available May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Type | Extension(ContactPointAvailableTime) (Complex Extension)
Invariants | Defined on this element ele-1: (: ) ext-1: (: )
14. Location.telecom.extension:via-intermediary
SliceName | via-intermediary
Definition | A reference to an alternative point of contact (NatlDirEndpointQry-PractitionerRole, NatlDirEndpointQry-Organization, NatlDirEndpointQry-OrganizationAffiliation, or NatlDirEndpointQry-Location) for this organization
Control | 0..*
Type | Extension(ViaIntermediary) (Extension Type: Reference(NatlDirEndpointQryPractitionerRole|NatlDirEndpointQryOrganizationAffiliation|NatlDirEndpointQryLocation|NatlDirEndpointQryOrganization))
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
15. Location.telecom.use
Definition | Identifies the purpose for the contact point.
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse Use of contact point.
Type | code
Is Modifier | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Location.address
Definition | Physical location.
Control | 0..1
Type | Address
Must Support | true
Requirements | If locations can be visited, we need to keep track of their address.
Comments | Additional addresses should be recorded using another instance of the Location resource, or via the Organization.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Location.address.use
Definition | The purpose of this address.
Control | 0..1
Binding | The codes SHALL be taken from AddressUse The use of an address.
Type | code
Is Modifier | true
Requirements | Allows an appropriate address to be chosen from a list of many.
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Example | General:home
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
18. Location.address.line
Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Control | 0..*
Type | string
Must Support | true
Example | General:137 Nowhere Street
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Location.address.city
Definition | The name of the city, town, suburb, village or other community or delivery center.
Control | 0..1
Type | string
Must Support | true
Alternate Names | Municpality
Example | General:Erewhon
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Location.address.state
Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
Control | 0..1
Binding | The codes SHALL be taken from USPS Two Letter Alphabetic Codes; other codes may be used where these codes are not suitableFor codes, see (unbound) Two letter USPS alphabetic codes
Type | string
Must Support | true
Alternate Names | Province, Territory
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Location.address.postalCode
Definition | A postal code designating a region defined by the postal service.
Control | 0..1
Type | string
Must Support | true
Alternate Names | Zip
Example | General:9132
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Location.physicalType
Definition | Physical form of the location, e.g. building, room, vehicle, road.
Control | 0..1
Binding | For example codes, see LocationType Physical form of the location.
Type | CodeableConcept
Must Support | true
Requirements | For purposes of showing relevant locations in queries, we need to categorize locations.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Location.managingOrganization
Definition | The organization responsible for the provisioning and upkeep of the location.
Control | 0..1
Type | Reference(NatlDirEndpointQryOrganization|Organization)
Must Support | true
Requirements | Need to know who manages the location.
Comments | This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Location.partOf
Definition | Another Location of which this Location is physically a part of.
Control | 0..1
Type | Reference(NatlDirEndpointQryLocation|Location)
Must Support | true
Requirements | For purposes of location, display and identification, knowing which locations are located within other locations is important.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Location.endpoint
Definition | Technical endpoints providing access to services operated for the location.
Control | 0..*
Type | Reference(NatlDirEndpointQryEndpoint|Endpoint)
Must Support | true
Requirements | Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. Location
Definition | Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
Control | 0..*
2. Location.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control | 0..1
Type | id
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
3. Location.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Control | 0..1
Type | Meta
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. Location.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
5. Location.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Location.meta.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
6. Location.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Control | 0..1
Type | id
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Location.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Control | 1..1
Type | instant
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. Location.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Control | 0..1
Type | uri
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. Location.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Control | 0..*
Type | canonical(StructureDefinition)
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. Location.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Control | 0..*
Binding | The codes SHALL be taken from All Security Labels; other codes may be used where these codes are not suitable Security Labels from the Healthcare Privacy and Security Classification System
Type | Coding
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Location.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Control | 0..*
Binding | For example codes, see CommonTags Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
Type | Coding
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Location.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Control | 0..1
Type | uri
Is Modifier | true
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. Location.language
Definition | The base language in which the resource is written.
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages A human language
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Location.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Control | 0..1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Location.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
16. Location.extension
Definition | An Extension
Control | 0..*
Type | Extension
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Location.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
17. Location.extension:accessibility
SliceName | accessibility
Definition | An extension to describe accessibility options offered by a practitioner or at a location.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Accessibility) (Extension Type: CodeableConcept)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
18. Location.extension:newpatients
SliceName | newpatients
Definition | New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(NewPatients) (Complex Extension)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').valueCodeableConcept.coding.exists(code = 'no') implies extension('characteristics').empty())
19. Location.extension:region
SliceName | region
Definition | A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(boundary-geojson) (Extension Type: Attachment)
Comments | The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be 'application/geo+json'.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
20. Location.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
21. Location.identifier
Definition | Unique code or number identifying the location to its users.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Must Support | true
Requirements | Organization label locations in registries, need to keep track of those.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Location.status
Definition | The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.
Control | 1..1
Binding | The codes SHALL be taken from LocationStatus Indicates whether the location is still in use
Type | code
Is Modifier | true
Must Support | true
Fixed Value | active
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Location.operationalStatus
Definition | The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.
Control | 0..1
Binding | The codes SHOULD be taken from hl7VS-bedStatus The operational status if the location (where typically a bed/room)
Type | Coding
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Location.name
Definition | Name of the location as used by humans. Does not need to be unique.
Control | 1..1
Type | string
Must Support | true
Comments | If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Location.alias
Definition | A list of alternate names that the location is known as, or was known as, in the past.
Control | 0..*
Type | string
Requirements | Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful.
Comments | There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. Location.description
Definition | Description of the Location, which helps in finding or referencing the place.
Control | 0..1
Type | string
Requirements | Humans need additional information to verify a correct location has been identified.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Location.mode
Definition | Indicates whether a resource instance represents a specific location or a class of locations.
Control | 0..0
Binding | The codes SHALL be taken from LocationMode Indicates whether a resource instance represents a specific location or a class of locations
Type | code
Requirements | When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.
Comments | This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. Location.type
Definition | Indicates the type of function performed at the location.
Control | 0..*
Binding | The codes SHALL be taken from ServiceDeliveryLocationRoleType; other codes may be used where these codes are not suitable Indicates the type of function performed at the location
Type | CodeableConcept
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Location.telecom
Definition | The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
Control | 0..*
Type | ContactPoint
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Location.telecom.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
31. Location.telecom.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Location.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
32. Location.telecom.extension:contactpoint-availabletime
SliceName | contactpoint-availabletime
Definition | An extension representing the days and times a contact point is available
Control | 0..*
Type | Extension(ContactPointAvailableTime) (Complex Extension)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
33. Location.telecom.extension:via-intermediary
SliceName | via-intermediary
Definition | A reference to an alternative point of contact (NatlDirEndpointQry-PractitionerRole, NatlDirEndpointQry-Organization, NatlDirEndpointQry-OrganizationAffiliation, or NatlDirEndpointQry-Location) for this organization
Control | 0..*
Type | Extension(ViaIntermediary) (Extension Type: Reference(NatlDirEndpointQryPractitionerRole|NatlDirEndpointQryOrganizationAffiliation|NatlDirEndpointQryLocation|NatlDirEndpointQryOrganization))
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
34. Location.telecom.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Control | 0..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem Telecommunications form for contact point
Type | code
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. Location.telecom.value
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Control | 0..1
Type | string
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. Location.telecom.use
Definition | Identifies the purpose for the contact point.
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse Use of contact point
Type | code
Is Modifier | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. Location.telecom.rank
Definition | Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Control | 0..1
Type | positiveInt
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. Location.telecom.period
Definition | Time period when the contact point was/is in use.
Control | 0..1
Type | Period
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Location.address
Definition | Physical location.
Control | 0..1
Type | Address
Must Support | true
Requirements | If locations can be visited, we need to keep track of their address.
Comments | Additional addresses should be recorded using another instance of the Location resource, or via the Organization.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Location.address.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
41. Location.address.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Location.address.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
42. Location.address.use
Definition | The purpose of this address.
Control | 0..1
Binding | The codes SHALL be taken from AddressUse The use of an address
Type | code
Is Modifier | true
Requirements | Allows an appropriate address to be chosen from a list of many.
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Example | General:home
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. Location.address.type
Definition | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Control | 0..1
Binding | The codes SHALL be taken from AddressType The type of an address (physical / postal)
Type | code
Comments | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Example | General:both
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Location.address.text
Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Control | 0..1
Type | string
Requirements | A renderable, unencoded form.
Comments | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Example | General:137 Nowhere Street, Erewhon 9132
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Location.address.line
Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Control | 0..*
Type | string
Must Support | true
Example | General:137 Nowhere Street
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. Location.address.city
Definition | The name of the city, town, suburb, village or other community or delivery center.
Control | 0..1
Type | string
Must Support | true
Alternate Names | Municpality
Example | General:Erewhon
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
47. Location.address.district
Definition | The name of the administrative area (county).
Control | 0..1
Type | string
Alternate Names | County
Comments | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
Example | General:Madison
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
48. Location.address.state
Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
Control | 0..1
Binding | The codes SHALL be taken from USPS Two Letter Alphabetic Codes; other codes may be used where these codes are not suitable Two letter USPS alphabetic codes
Type | string
Must Support | true
Alternate Names | Province, Territory
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. Location.address.postalCode
Definition | A postal code designating a region defined by the postal service.
Control | 0..1
Type | string
Must Support | true
Alternate Names | Zip
Example | General:9132
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. Location.address.country
Definition | Country - a nation as commonly understood or generally accepted.
Control | 0..1
Type | string
Comments | ISO 3166 3 letter codes can be used in place of a human readable country name.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
51. Location.address.period
Definition | Time period when address was/is in use.
Control | 0..1
Type | Period
Requirements | Allows addresses to be placed in historical context.
Example | General:<valuePeriod xmlns="http://hl7.org/fhir"> <start value="2010-03-23"/> <end value="2010-07-01"/> </valuePeriod>
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. Location.physicalType
Definition | Physical form of the location, e.g. building, room, vehicle, road.
Control | 0..1
Binding | For example codes, see LocationType Physical form of the location
Type | CodeableConcept
Must Support | true
Requirements | For purposes of showing relevant locations in queries, we need to categorize locations.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
53. Location.position
Definition | The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).
Control | 0..1
Type | BackboneElement
Requirements | For mobile applications and automated route-finding knowing the exact location of the Location is required.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
54. Location.position.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
55. Location.position.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
56. Location.position.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
57. Location.position.longitude
Definition | Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).
Control | 1..1
Type | decimal
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
58. Location.position.latitude
Definition | Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).
Control | 1..1
Type | decimal
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
59. Location.position.altitude
Definition | Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).
Control | 0..1
Type | decimal
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
60. Location.managingOrganization
Definition | The organization responsible for the provisioning and upkeep of the location.
Control | 0..1
Type | Reference(NatlDirEndpointQryOrganization)
Must Support | true
Requirements | Need to know who manages the location.
Comments | This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. Location.partOf
Definition | Another Location of which this Location is physically a part of.
Control | 0..1
Type | Reference(NatlDirEndpointQryLocation)
Must Support | true
Requirements | For purposes of location, display and identification, knowing which locations are located within other locations is important.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
62. Location.hoursOfOperation
Definition | What days/times during a week is this location usually open.
Control | 0..*
Type | BackboneElement
Comments | This type of information is commonly found published in directories and on websites informing customers when the facility is available. Specific services within the location may have their own hours which could be shorter (or longer) than the locations hours.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
63. Location.hoursOfOperation.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
64. Location.hoursOfOperation.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
65. Location.hoursOfOperation.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
66. Location.hoursOfOperation.daysOfWeek
Definition | Indicates which days of the week are available between the start and end Times.
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek The days of the week
Type | code
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
67. Location.hoursOfOperation.allDay
Definition | The Location is open all day.
Control | 0..1
Type | boolean
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
68. Location.hoursOfOperation.openingTime
Definition | Time that the Location opens.
Control | 0..1
Type | time
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. Location.hoursOfOperation.closingTime
Definition | Time that the Location closes.
Control | 0..1
Type | time
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
70. Location.availabilityExceptions
Definition | A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.
Control | 0..1
Type | string
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
71. Location.endpoint
Definition | Technical endpoints providing access to services operated for the location.
Control | 0..*
Type | Reference(NatlDirEndpointQryEndpoint)
Must Support | true
Requirements | Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))